What Do I Need for an IMO or Nexus Letter?
To complete your review, please provide as much relevant documentation as you have, including:
• Current mental health diagnosis
• Most recent VA Rating Decision
• Relevant VA and private medical records
• Relevant military or service records
• Personal, buddy, or spouse statements, if available
Don't have everything listed? That's okay. Each case is different, and we will let you know if additional information is needed after reviewing your records.
Independent Medical Opinions & Nexus Letters
If you already have a current mental health diagnosis, an Independent Medical Opinion (IMO) or Nexus Letter may provide additional clinical documentation to support your VA disability claim.
Our providers are experienced Licensed Mental Health Counselors (LMHCs) with a proven record of working with veterans and providing thorough, professional mental health documentation for VA disability claims.
These services may be appropriate for veterans seeking to establish a connection between a diagnosed mental health condition and military service, support a secondary service connection, or document how an already service connected mental health condition has worsened over time.
Each opinion is individualized and may include a review of relevant medical records, military history, current symptoms, treatment history, and other supporting documentation. When supported by the available evidence, a written professional opinion and rationale may be provided.
Independent Medical Opinions and Nexus Letters may be available to veterans nationwide when a current mental health diagnosis has already been established.
Every case is reviewed individually. An evaluation or opinion does not guarantee service connection, an increased rating, or any specific VA disability outcome.
The cost for a standalone Independent Medical Opinion or Nexus Letter is $450. This fee includes a review of relevant records, preparation of the Nexus Letter or Independent Medical Opinion, and relevant clinical research and supporting literature, when appropriate, to provide a thorough, evidence based professional opinion regarding your claim.
Payment is collected via credit card at the time work on the Nexus Letter or Independent Medical Opinion begins.
How Soon Will I Receive My Nexus Letter or IMO?
Once all requested records and supporting evidence have been received, your completed Nexus Letter or Independent Medical Opinion will typically be provided within 2 weeks.